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Home My WebLink AboutPermit Electrical 2010-6-24 225 Fifth Street. Springfield, OR 97477.PH(541)726~3753. FAX(S41)726~3689 DE'PAirTMENT USE ONLY f':.o~ ' . Date; Permit no.:ro This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ,'" "'~OC~L:.GOYE~NMENT'A~I'ROYAIf~'i,"iw";0'i::~;,?r Zoning approval verified? IZI Yes 0 No ;':f";<,,"i~c~:rEGORY!iOI":CONSTRUCTION(ji('~ rz Residential D Government D Commercial !!jii)i&mj".OEl:iI$I;J"EiiINFOR.MA:rIONjrAN[j~IJ:O.CA;r,loN1~r;!Jf-It Job site address; S, <..j "!. ~O( 'S. T: City;S State; 0 Il.. ZIP:9"1<11!( Reference; Taxlot :ti"02-(J.r.,u~ ,,", ". :OESCRIP,TION;OF WORK;'t,\,;;;':u,)li~"P R.. LA<:~ RLec(ot"4-L '4"u",/ PROPERTY OWNER Name G/lbt'/"+ /-I. od~l/o Address; ~ 2. '1 .s _ <.f.3 r<l 57, City:S (I" f,"/r/ State:OJt. ZIP: '7 ?V7 S Phone;.rI/-7l17- /Vo(,r Fax;.r<//-7'o/ '9'k. E-mail; icoJ)." b~' @ COkC/l-S7, AJ~-; This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent OAR 479.540(1) and 4 9.560(1). . J) , , /1 Signature; , /~ "CONTRACTOR INSTALLATION Business name: Phone; E-mail; CCB license no . Signing,supervisor's license no.: -- I"fint name of signing supervisor: Signature of signing supervisor: ~.\o \o..~ ~~ 440,2584,J (9/08/COM) ;\~+f~~4Ht~:'~~,t~\y~11,jl5~~f~~f,EE:~SCf.t EO,U ~_et[:~~11~;~ftr~~~\~?~~~~tl~ "- ,"- ", ":"-,-:. - "{'.',:" "'."' ,......... Cost Total ::~~~~~i o.X;,ins_p~~ri~;~.i.~~r,,!t~,rr;',!,)::,~~";.: ~!'r. J;?ea~:ti'" " 'cost-l'e Residential"per unit, service included: 1 ,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration. relocation 200 amps or less (2) , $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary serv~ces or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see, services or feeders section above Branch circuits: new, alteration, ~xtension per panel a. Fee'for branch circuits with purchase of a service or feeder fee: , Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00.. $ Miscellaneous fees: service or feeder 'Yot included Each pump or irrigation circle (2) $ 63,00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited~energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ ~~1:~~~ht!~~~~~~~i::,t~~)\-PRffic-ANT,gU'SEff;~?f~:;:~i~t~%}~);;~r!~{:;~};f~'f, ::-.~ (A) Enter subtotal of above fees $ .5/6 V (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $ 1,--; ?~ (C) Technology Fee (5% of [A]) $ 4<0 r- TOTAL fees and surcharges (A through C): $ q4< ? '1 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM20I0-00722 ISSUED: 06/04/2010 APPLIED: 06/04/2010 EXPIRES: 12/23/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 829 S 43RD ST ASSESSOR'S PARCEL NO.: 1802052108900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless heating system Owner: Address: RODELLO CILBERT A 829 S 43RD ST SPRINGFIELD OR 97478 . ::.!i;l~ .':X,!;}.i ~;<,. Phone Numher: 541-744-6966 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Mechanical Contractor License GMD ELECTRIC INC 162191 COMFORT FLOW HEATING CO. 460 BUILDING INFORMATION I Expiration Date 1111912010 06127/2011 Phone 541-726-8601 , 541-726-0100 # of Units: Primary Occupancy Group: Sec!,ndary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Str'ucture Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd ,Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .,'_~'\t ':. ,'. : Overlay,Dist: # Street Trees Rqd: Paved Drive Rqd: '% of Lot Coverage: REQUIRED PARKING Total: -- Handicapped: Compact: Storm Sewer ffaif'l'l!f: ' Special Instruf~~g:PERMIT SHALL EXPIRE IF THE WORK' Notes: AUTHORIZED UNDER THIS PERMIT I,~ NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD PUBLIC IMPROVE 'wi'!- le~ ~dopted by the Oregon Utility o I IcatlOn CPd1~er. 1~~e rules are setforth in OAR 952-0Cl1'-'t'tl'f'8'ftM;!lgn OAR 952-001. 0090. You maD6Wnsifuu~llfsl;he rules by ~ 'calling the center, (Note:the tel~~ho~e number for the Oregon Utility Notlficalion Center is 1-800-332-2344). , Street Improvements: " ",' Page 1 of 3 . (,j}v ~ '\n~' ,,~ . ,. ,.'__W . .._~, '~"_"'. ,_." . . .'~:,;j.1"~ :'~Ii' i;.! . '.. ....f F. \ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description $ PerSq Ft or mnltiplier Sqnare Footage or Bid Amount Tvpe of Construction Total Value of Project ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00722 ISSUED: 06/04/2010 APPLIED: 06/04/2010 EXPIRES: 12/2312010 VALUE: Value Date Calculated Fee Description Amount Paid Date,Paid Receipt Number + 12% State Surcharge $13.56-:'-:' , .,.;..-......'..., 6/4/10 1201000000000000612 + 5% Technology Fee $5.65"'" ./~': 'r, 6/4/10 1201000000000000612 1st Appliance $79.00~~;;J,!.;~ ; J ,..i;~,;' . 6/4/10 1201000000000000612 Air Handling Unit Up to 10,000 $17.00:',' 6/4/10 1201000000000000612 Heat Pump $17.00 6/4/10 1201000000000000612 + 12% State Surcharge $7.32 6/23/10 1201000000000000749 + 5% Technology Fee $3.05 6/23/10 1201000000000000749 Add, Alter, Extend Circ $55.00 6/23/10 ) 1201000000000000749 Add, Alter, Extend Circ Ea Add $6.00 6/23/10 1201000000000000749 + 12% State Surcharge $9.72 6/24/10 2201000000000000741 + 5% Technology Fee $4.05 ' 6/24/10 2201000000000000741 Perm Serv/Fdr 200 amps or less $81.00. . 6/24J1 0 2201000000000000741 " ~..,' ., Total Amount Paid $298.35' , i .' '._l'Il-; :" I Plan Reviews ~ To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections reque~~ed after 7:00 a.m. will be made the following work day. ,,-"," . :':lft~ .( ~ T:' l..Re'diiife1.lnls-n'ections ~ ,," Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. '-' ,\ , ; . .,.--""" \L,., Pa2e 2 of 3 , tiiE~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ., ~;.-J I' [.'. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00722 ISSUED: 06/0412010 APPLIED: 06/04/2010 EXPIRES: 12/23/2010 VALUE: ,1 ~ "'\"'. ,~:~;;.!L . '11 - By signature, 1 state and agree, that 1 have carefull)' examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any aod all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structnre withont permission of the Community Services Division, Bnilding Safety, I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. .~.~ Owner or Contractors Signature .' ~'" ~ / Date ;::<( ;Z 01' () .: ~ .,_., :"f' .;f~r~~ t" u_;:'~~ . ,_. , '.:\:r Page 3 01'3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "..!'._.~N'.A.9,""'.'T.'~jC..." ............. lIJI'''' ' , .f ." ~.' .. .. .: ,..,........ m,...' ... .~.~,.,../~........,...., City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000741 Date: 06/24/2010 2:06:12PM Paid By GILBERT A, RODELLO Item Total: Check Number Authorization Received By Batch Number Number' How Received njm 997 In Person Payment Total: Amount Due 81.00 9,72 4,05 $94.77 Job/Journal Number COM20 1 0-00722 . COM2010-00722 COM2010-00722 Description Penn Serv/Fdr 200 amps or less t"i"" "" ,", ,. ,,' r + 12% State Surcharge . :;'''.![, 1,\ 'Y'_I;" + 5% Technology Fee , ' Payments: Type of Payment Check Amount Paid $94,77 $94.77 ,;,10\,1.',;,,: .. l" ,I "l!'. , Y l~' :~jV' ,",,0)., < ~ t.!, ~,.", r " 't1. ,~" ; " " " , 5>':.'i."~" .:' '",; .. f: _:: ; "~\ iJ:". I j'~ cReceintl Page I of I 6/24/20 I 0